An advanced practice nurse observes a novice nurse expressing irritability regarding a patient with a long history of alcoholism and suspects the new nurse is experiencing countertransference. Which comment by the new nurse confirms this suspicion?

Correct Answer: B

Rationale: The correct answer is B because it indicates a personal connection and emotional reaction from the nurse due to her past experiences with alcoholic parents, suggesting countertransference. Choice A focuses on the patient's denial, not the nurse's reaction. Choice C pertains to the patient's lack of goals, not the nurse's feelings. Choice D relates to the patient's comment about the nurse, not the nurse's emotional response. In summary, B is correct as it directly reflects the nurse's personal history impacting her feelings towards the patient, while the other choices do not address the nurse's emotional reaction.

Correct Answer: A

Rationale: The correct answer is A: Continuity of care. This is a major goal in the recovery process of schizophrenia as it emphasizes ongoing support and treatment beyond the acute phase. Continuity of care ensures consistent monitoring, medication management, therapy, and support services, which are essential for long-term recovery. Shorter in-patient stays (B) focus more on acute management rather than sustained recovery. Immediate crisis stabilization (C) is important but not the primary long-term goal. Social engagement (D) is beneficial but not as critical as continuity of care for sustained recovery.

Correct Answer: D

Rationale: The correct answer is D: Social cognition. Ophelia's inability to recognize familiar faces at the reunion indicates a deficit in social cognition, which involves the ability to understand and interact with others socially. This deficit is not related to lower-level cognitive domains like memory or attention (choice A), delirium threshold (choice B), or executive function which is more related to planning and decision-making (choice C). Social cognition impairment can manifest as difficulty recognizing faces, interpreting social cues, or understanding others' emotions, all of which are evident in Ophelia's situation.

Correct Answer: A

Rationale: The correct answer is A: Rapport. Rapport is crucial in building a therapeutic nurse-client relationship. It involves creating a connection based on acceptance, warmth, and a nonjudgmental attitude, which helps in establishing trust and communication. Building rapport fosters a positive environment for effective care and understanding between the nurse and client. Trust (B) is built on rapport and is a result of it. Respect (C) and professionalism (D) are important in nursing practice but do not directly address the specific characteristic described in the question.

Correct Answer: D

Rationale: The correct answer is D because during the stabilization phase, assessing the patient for target symptoms and side effects is crucial to ensure the medication is working effectively without causing harm. This step allows healthcare providers to monitor the patient's progress, adjust the medication dosage if needed, and address any emerging side effects promptly. A: Discussing the timing of tapering the medication is premature during the stabilization phase as the focus should be on monitoring the patient's response to the current medication regimen. B: Instructing the patient about relapse prevention is important but more relevant during the maintenance phase rather than the stabilization phase. C: Determining if the medication is losing its effect can be part of the assessment but is not the most appropriate action during the stabilization phase where the primary focus is on monitoring symptoms and side effects.